| NPI | 1528418530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096982) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-02-09 |